Maurita Jackson
Social Worker, Clinical in Houston, TX. Individual provider (NPI-1).
NPI number1265894232
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1265894232
- Entity type
- Individual (NPI-1)
- Name
- Maurita Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2016
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 67022 | TX | Yes |
Practice location
2950 North Loop W Ste 500Houston, TX 77092-8830
Phone 724-250-8855
Mailing address
2950 North Loop W Ste 500Houston, TX 77092-8830
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